ELISSA M MALKIN DO - Medical Doctor License in District of Columbia | # 130000469

ELISSA M MALKIN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000469

License Status

EXPIRED

Business

N

First Name

ELISSA

Middle

M

Last Name

MALKIN

Suffix

DO

Business Name

ELISSA M MALKIN DO

Original Issue Date

02/09/2000

Effective Date

02/09/2000

Expiration Date

06/08/2000

State

DC

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

N

LastModifiedDate

09/25/2006